Massive panniculectomy results in improved functional outcome - 01/03/14
, Heather Howe, A.P.N., John Stephen Marshall, M.D., Thomas Rossi, M.D., Michael Owolabi, M.D.Abstract |
Background |
Panniculus morbidus is a large abdominal apron found in morbidly obese patients. This condition creates a vicious cycle of weight gain and functional incapacity. Our study assessed the functional improvement in patients undergoing massive panniculectomy.
Methods |
A retrospective review of panniculectomies performed from 1994 to 2012 was conducted. Twenty-seven patients with resections >20 lbs were selected. Data on demographics, operative details, complications, and pre- and postoperative functional capacity (using the Steinbrocker Functional Classification) were collected.
Results |
The preoperative mean body mass index was 58 kg/m2, with a mean resection weight of 33 lbs. The overall complication rate was 74%. A statistically significant improvement in functional capacity (preop mean 3.7 vs postop mean 2.0; P < .0001) was identified.
Conclusions |
Panniculus morbidus is a functionally debilitating condition and massive panniculectomy is often the only treatment available. Our data suggest that massive panniculectomy is a viable option for patients functionally incapacitated by panniculus morbidus.
Le texte complet de cet article est disponible en PDF.Keywords : Panniculus morbidus, Massive panniculectomy, Obesity, Functional capacity
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
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| The authors declare no conflicts of interest. |
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| Originality statement: The following manuscript is the original work of the above-mentioned authors and is previously unpublished. All authors have reviewed and approved this manuscript. |
Vol 207 - N° 3
P. 441-444 - mars 2014 Retour au numéro
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